Barriers in the mind: promoting an economic case for mental health in low‐ and middle‐income countries

McDaid, David; Knapp, Martín; Raja, Shoba

doi:10.1002/j.2051-5545.2008.tb00160.x

Cited by 66 publications

(62 citation statements)

References 41 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Oftentimes, they have insufficient data to support that the burden of disease caused by mental health disorders is comparable to the burden caused by infectious disease (Das et al, 2007;Saxena et al, 2007). They also may find a lack of local and international funding to support research on (1) implementing therapy or (2) evaluating the efficacy and cost effectiveness of the therapy (McDaid et al, 2008;Saxena et al, 2007). There are no public policies in Cambodia that address structural inequalities faced by poverty-stricken individuals with mental health illnesses (McDaid et al, 2008;Saraceno et al, 2007).…”

Section: Interrelationship Of Poverty and Mental Healthmentioning

confidence: 94%

“…These barriers include lack of mental health resources, poorly organised primary health care resources with no emphasis on mental health, too few people trained in providing mental health care, and most notably, inequities in the distribution of already scare resources (Saraceno et al, 2007;Saxena et al, 2007;McDaid et al, 2008). Those most in need of mental health care are the ones with the least access to efficacious and humane treatment (Saxena et al, 2007).…”

Section: Interrelationship Of Poverty and Mental Healthmentioning

confidence: 97%

“…They also may find a lack of local and international funding to support research on (1) implementing therapy or (2) evaluating the efficacy and cost effectiveness of the therapy (McDaid et al, 2008;Saxena et al, 2007). There are no public policies in Cambodia that address structural inequalities faced by poverty-stricken individuals with mental health illnesses (McDaid et al, 2008;Saraceno et al, 2007).…”

Section: Interrelationship Of Poverty and Mental Healthmentioning

confidence: 97%

“…People living in poverty are typically less educated, earn less than minimum wage, have poorer physical health, have less access to political power, live in communities with high rates of mental health disorders and have experienced more adverse life events than do individuals not in poverty (Das et al, 2007;McDaid, Knapp, & Raja, 2008;Patel & Kleinman, 2003;Saxena, Thornicroft, Knapp, & Whiteford, 2007). Underlying these variables is a culture of insecurity, uncertainty and vulnerability that influences an individual's mental health status (Das et al, 2007;Saxena et al, 2007).…”

Section: Interrelationship Of Poverty and Mental Healthmentioning

confidence: 98%

See 3 more Smart Citations

A responsive evaluation of mental health treatment in Cambodia: Intentionally addressing poverty to increase cultural responsiveness in therapy

Seponski

Lewis

Megginson

2014

Global Public Health

View full text Add to dashboard Cite

Mental health issues are significant contributors to the global burden of disease with the highest incidence in resource poor countries; 90% of those in need of mental health treatment reside in low resource countries but receive only 10% of the world's resources. Cambodia, the eighth least developed country in the world, serves as one example of the need to address mental health concerns in low-income, resource poor countries. The current study utilises responsive evaluation methodology to explore how poverty-stricken Cambodian clients, therapists and supervisors experience Western models of therapy as culturally responsive to their unique needs. Quantitative and qualitative data were triangulated across multiple stakeholders using numerous methods including a focus group, interviews, surveys, case illustrations and live supervision observation and analysed using constant comparative analysis. Emerging findings suggest that poverty, material needs, therapy location and financial situations greatly impact the daily lives and mental health conditions of Cambodians and hinder clients' therapeutic progress. The local community needs and context of poverty greatly hinder clients' therapeutic progress in therapy treatment and when therapy does not directly address the culture of poverty, clients did not experience therapy as valuable despite some temporary decreases in mental health symptoms.

show abstract

Section: Interrelationship Of Poverty and Mental Healthmentioning

confidence: 94%

Section: Interrelationship Of Poverty and Mental Healthmentioning

confidence: 97%

Section: Interrelationship Of Poverty and Mental Healthmentioning

confidence: 97%

Section: Interrelationship Of Poverty and Mental Healthmentioning

confidence: 98%

See 2 more Smart Citations

A responsive evaluation of mental health treatment in Cambodia: Intentionally addressing poverty to increase cultural responsiveness in therapy

Seponski

Lewis

Megginson

2014

Global Public Health

View full text Add to dashboard Cite

show abstract

“…An article by McDaid et al (2), also published in the journal, notices that non-governmental organizations can support primary care by "building on social capital in communities". A hidden face of community mental health care in Africa, however, is specialist care from private providers, especially psychiatrists and psychiatric nurses.…”

mentioning

confidence: 99%

A hidden face of community mental health care in Africa: specialist care from private providers in Kenya

Menil

Ndetei

Waruguru³

et al. 2014

World Psychiatry

Self Cite

View full text Add to dashboard Cite

Promoting and Protecting Mental Wellbeing during Times of Economic Change

McDaid

Wahlbeck²

2014

Wellbeing

View full text Add to dashboard Cite

History shows that economic shocks, whether boom or bust, can have profound effects on mental health and wellbeing. The magnitude of these effects, and the populations most affected, can vary considerably. In some contexts there may be adverse impacts on suicide rates and interpersonal violence, while stress, anxiety, and depressive disorders may be on the rise. In other contexts these impacts have been minimal. There are many potential explanatory factors. In all cases much can be learned from these past economic shocks as to potential mechanisms that can be used to strengthen resilience and protect mental health and wellbeing. This chapter outlines a range of measures that can safeguard and support mental health and wellbeing during economic shocks. It emphasizes that the promotion and protection of wellbeing cannot be achieved by the health sector alone. The determinants of mental health often lie outside of the remits of the health system and all sectors of society have to be involved in the promotion of mental health.

show abstract

Barriers in the mind: promoting an economic case for mental health in low‐ and middle‐income countries

Cited by 66 publications

References 41 publications

A responsive evaluation of mental health treatment in Cambodia: Intentionally addressing poverty to increase cultural responsiveness in therapy

A responsive evaluation of mental health treatment in Cambodia: Intentionally addressing poverty to increase cultural responsiveness in therapy

A hidden face of community mental health care in Africa: specialist care from private providers in Kenya

Promoting and Protecting Mental Wellbeing during Times of Economic Change

Contact Info

Product

Resources

About